Abstract

At their best, research partnerships provide a mechanism to optimize each partner’s strengths, make scientific discoveries and achieve development goals. Each partner stands to gain from the relationship and perceives it to be fair. However, partnerships between institutions in the global North and the global South have been beleaguered by structural inequalities and power imbalances, and Northern stakeholders have been criticized for perpetuating paternalistic or neo-colonial behaviours. As part of efforts to redress imbalances and achieve equity and mutual benefit, various principles, guidelines, frameworks and models for partnership have been developed. This scoping review maps the literature and summarizes key features of the guidelines for North–South research partnerships. The review was conducted between October 2020 and January 2021. Three academic journal databases and Google were searched, and additional resources were identified through a hand search of reference lists and expert recommendation. Twenty-two guidelines were identified published between 1994 and 2021 and originating predominantly in the fields of international development and global health. The themes addressed within the guidelines were aggregated using NVivo qualitative analysis software to code the content of each guideline. Topics featuring most prominently in the guidelines were: partner roles, responsibilities and ways of working; capacity strengthening; motivation and goals; resource contributions; agenda setting and study design; governance structures and institutional agreements; dissemination; respect for affected populations; data handling and ownership; funding and long-term commitments. The current study reinforces many of the themes from two recent scoping reviews specific to the field of global health, but gaps remain, which need to be addressed: Southern stakeholders continue to be under-represented in guideline development, and there is limited evidence of how guidelines are used in practice. Further exploration is needed of Southern stakeholder priorities and whether and how guidelines are operationalized.

Highlights

  • Partnership is seen as an important mechanism for improving health and achieving development goals (United Nations, 2020)

  • We aim to look beyond the global health literature to explore evidence in other fields, consolidating evidence on equity in partnerships that can be utilised beyond the field of global health

  • The steps of Arksey and O’Malley’s methodological framework for conducting scoping reviews (Arksey and O'Malley, 2005) were broadly followed: Step 1: Identifying the research question The question addressed by the review was “What are the characteristics of the principles, guidelines, frameworks and models which have been developed to guide the operationalisation of North-South research partnerships?”

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Summary

Introduction

Partnership is seen as an important mechanism for improving health and achieving development goals (United Nations, 2020) It is often associated with a set of values such as responsibility, joint decision-making, trust and mutual understanding (Mommers and van Wessel, 2009, Corbin et al, 2012) and has been characterised as a ‘cooperation strategy...governed by a comprehensive and inclusive perspective...and promoting synergetic actions and initiatives’ (Forti, 2005)(p.32). Costello and Zumla (2000) advocated for an emerging model of partnership research in low and middle income countries over its predecessor, which they termed the ‘semi-colonial’ model They described partnerships as having, amongst other characteristics, a jointly negotiated research agenda, integral links with national institutions, nationally led line management, strong influence on local policy makers, dissemination balanced between international, national and regional journals and a role in strengthening national academic infrastructure. The terms North and South are imperfect and crude but remain sufficiently widespread that they were felt to be appropriate to use in this scoping review

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